CRC ALLIED HELATH NPI 1912390956

NPI Information

CRC ALLIED HELATH is an intermediate care facility mental illness in Portland, OR. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. CRC ALLIED HELATH NPI is 1912390956. The provider is registered as an organization entity type.

The provider's business location address is:

808 SW ALDER ST
#300
PORTLAND, OR
ZIP 97205-133
Phone: (503) 226-2203
Fax: (503) 223-4231

The provider's authorized official is Michael Tierney .
The authorized official title is Clinic Director and has the following contact phone number (503) 226-2203.

The enumeration date for this NPI number is 3/16/2015 and was last updated on 3/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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